Samantha Tetzlaff MS
Mental Health Counselor in Madison, WI(View on Map)
Full Name
Samantha Tetzlaff MS
NPI Number
1043783624
NPI Type
Individual Provider
Gender
Female
Enumeration Date
01/07/2019
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
8199-125
Contact
Information
Purpose
Mailing
Location
Address
211 S PATERSON ST STE 370
211 S PATERSON ST STE 370
City
Madison
Madison
State
WI
WI
Postal Code
53703-4501
53703-4501
Country
US
US
Telephone Number
N/A
(608) 535-1095
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/11/2021